Individual
MICHELE COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LMFT
Contact information
Practice address
1025 HERMOSA DR SE, ALBUQUERQUE, NM 87108-4312
(505) 237-0061
(505) 237-0068
Mailing address
1025 HERMOSA DR SE, ALBUQUERQUE, NM 87108-4312
(505) 237-0061
(505) 237-0068
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
0084851
NM
106H00000X
Marriage & Family Therapist
0084851
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
86580507
—
NM
Enumeration date
11/17/2006
Last updated
01/12/2017
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